chapter  5
The Physician's Role in a Hospice
ByWilliam C. Farr
Pages 14

The type of health care delivery system adopted by a community is determined by its size and the availability of volunteers, professionals and financial re­ sources. Hospice programs often must exist in environments and through regula­ tions not originally designed for them. The necessity to survive financially through third-party reimbursement and donations has had an impact on the breadth and depth of care delivered through many programs. Unfortunately, in some instances, Medicare patients have been forced to accept a large financial responsibility in order to receive hospice care. Because some patients are reluc­ tant or unable to meet these financial restrictions, they are placed in traditional care settings without adequate support and symptom management.